Psychological variables impacting weight gain rapidity in adolescents hospitalized for eating disorders

Phillips, Renee R.; Stewart, Sunita M.; Presnell, Katherine; Simmons, Alexander; Kennard, Betsy D.; Liss, Deanna; Setliff, Stephanie

doi:10.1002/erv.998

Cited by 8 publications

(4 citation statements)

References 31 publications

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“…The clinically most relevant finding appears to be the influence of the EDI-2 ineffectiveness subscale, which is conceptually very similar to low self-esteem [5]. The result is in line with previously reported associations between self-esteem and outcome [8]. Furthermore, low self-esteem has been conceptualized as a decisive maintaining factor within the ‘transdiagnostic' theory of EDs [9].…”

Section: Tablesupporting

confidence: 79%

Predictors of Outcome in Inpatients with Anorexia Nervosa: A Prospective Multi-Center Study

Kästner¹,

Gumz

Osen

et al. 2015

Psychother Psychosom

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Section: Tablesupporting

confidence: 79%

Predictors of Outcome in Inpatients with Anorexia Nervosa: A Prospective Multi-Center Study

Kästner¹,

Gumz

Osen

et al. 2015

Psychother Psychosom

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“…Some authors used the total score of multidimensional measure of perfectionism. For example, Phillips et al (2010) observed the total score of CAPS to impact weight gain rapidity in adolescents hospitalized for ED, and Wojtowicz and Von Ranson (2012) found the total CAPS to be related with body dissatisfaction at both baseline and 1‐year follow‐up. Moreover, one study (Fortes, Filgueiras, Oliveira, Almeida, & Ferreira, 2016) observed significant correlation between the total score of HMPS at baseline and eating disturbances assessed after 6 months.…”

Section: Narrative Synthesismentioning

confidence: 99%

The relationship between perfectionism and eating‐related symptoms in adolescents: A systematic review

Vacca

Ballesio

Lombardo

2020

Euro Eating Disorders Rev

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The clinical significance of two major aspects of perfectionism, perfectionistic strivings (PS) and perfectionistic concerns (PC), in eating disorders (EDs) symptoms was well‐established among adults. However, no systematic review has assessed evidence examining associations between both unidimensional and multidimensional perfectionism and EDs in early and middle adolescence. For this aim, three online databases (PsycINFO, Medline and PsycArticle) were searched for articles published until January 2019, and observational studies were considered. Study quality was systematically appraised, and results were summarized using a narrative synthesis approach. Fifty‐one cross‐sectional and 28 longitudinal studies were included. Most studies supported the relationship between perfectionism and EDs, with the majority adopting a unidimensional approach for assessing perfectionism. Among studies that employed multidimensional measures of perfectionism, the majority (n = 11) of evidence supported the relationship between eating symptoms and PC, while fewer (n = 5) studies provided significant unique associations with PS. These findings are consistent with the body of research suggesting the strength of the relationship between PC and EDs was greater than between PS and EDs. It was recommended that preventive interventions should be primarily focused on reducing self‐critical perfectionism, since it resulted to be the most relevant perfectionistic dimension in the development of eating symptoms in adolescents.

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“…Results from the child and adolescent literature replicate those of the adult literature, citing high perfectionism as impeding treatment outcome. High perfectionism is associated with nonresponse to treatment for depression and suicidality (Jacobs et al., ; O'Connor et al., ); nonschool attendance at six‐month follow‐up of trial for CBT for Chronic Fatigue Syndrome (Lloyd, Chalder, Sallis, & Rimes, ); and longer duration of illness (Nilsson, Sundbom, & Hagglof, ; Phillips et al., ).…”

Section: Treatment Of Childhood Perfectionismmentioning

confidence: 99%

Review: Assessment, development, and treatment of childhood perfectionism: a systematic review

Morris

Lomax

2014

Child Adoles Ment Health

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Background: In the adult literature, perfectionism has been linked with psychopathology and poor treatment outcomes, leading to perfectionism-focussed therapies. The child and adolescent perfectionism literature is comparatively sparse. Method: A systematic search of five electronic databases (Web of Knowledge, APA PsycNET, PubMed, ERIC/ProQuest, and Scopus) was conducted to identify studies of perfectionism in children and adolescents, in the context of psychopathology. Results: The search identified 133 studies, 84 of which discussed perfectionism as a correlate of mental health problems. These studies were briefly synthesised, with the systematic review focussing on evaluating papers on the development (n = 23), assessment (n = 19), and treatment (n = 7) of perfectionism. Conclusion: Treatment studies did not reflect the phenomenology of perfectionism found in this review. Key Practitioner Message• Perfectionism-focussed therapies improve treatment outcome in adults but further research is needed with children and adolescents • Clinicians should be aware of the role of perfectionism in psychopathology and its negative impact on treatment outcome • Where perfectionism is highlighted, contemplate targeting this early on in therapy, considering parental factors (pushy parenting style, harsh expectations, parental self-criticism and perfectionism), child factors (self-criticism, self-esteem), and attachment style • Perfectionism itself can be associated with achievement and emotional wellbeing: aiming towards supporting people to develop striving, adaptive perfectionism may be helpful • Consider publishing case studies of perfectionism treatment to add valuable knowledge to the empirical understanding of perfectionism in children

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Psychological variables impacting weight gain rapidity in adolescents hospitalized for eating disorders

Cited by 8 publications

References 31 publications

Predictors of Outcome in Inpatients with Anorexia Nervosa: A Prospective Multi-Center Study

Predictors of Outcome in Inpatients with Anorexia Nervosa: A Prospective Multi-Center Study

The relationship between perfectionism and eating‐related symptoms in adolescents: A systematic review

Review: Assessment, development, and treatment of childhood perfectionism: a systematic review

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